Launched by FXII activation. When blood vessels are damaged and collagen fibers in the lining are exposed, XII can be activated as XII, which in turn activates XI as XIa. XIa activates IX.a when Ca2 plus exists, and IX.a is further activated X with the activated VIII.a, PF3, Ca2 plus composite. The factors involved in clotting in the above process are present in the plasma of blood vessels, so it is named endogenous clotting pathway. Because of the existence of factor VIII.a, ix a activation of X speed up by 200,000 times, so factor VIII lack of endogenous clotting pathway disorder, slight injury can cause bleeding more than, clinically known as Haheitomopathy A haemophilia
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